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J Indian Prosthodont Soc (December 2014) 14(Suppl.

1):S110–S118
DOI 10.1007/s13191-014-0378-7

ORIGINAL ARTICLE

Effect of Preparation Taper, Height and Marginal Design Under


Varying Occlusal Loading Conditions on Cement Lute Stress:
A Three Dimensional Finite Element Analysis
Siddhi Tripathi • Gowdagere Shamanna Amarnath •

Byrasandra Channapa Muddugangadhar •


Ashish Sharma • Suchismita Choudhary

Received: 19 March 2014 / Accepted: 22 June 2014 / Published online: 10 July 2014
Ó Indian Prosthodontic Society 2014

Abstract To assess the effect of preparation taper, height cement lute were recorded. The maximum shear stresses
and margin design under different loading conditions on ranged from 1.70 to 3.93 MPa (horizontal point loading),
cement lute stress. A 3-D FE model of an upper second 0.66 to 3.04 MPa (vertical point loading), 0.38 to 0.87 MPa
premolar and molar was developed from CT scan of human (distributed loading). The maximum Von Mises stresses
skull using software programmes (MIMICS, Hypermesh ranged from 3.39 to 10.62 MPa (horizontal point loading),
and ANSYS). 10° and 30° taper, 3 and 5 mm preparation 1.93 to 8.58 MPa (vertical point loading) and 1.49 to 3.57
height and shoulder and chamfer finish lines were used. MPa (distributed loading). The combination of 10° taper
Type 1 Glass ionomer cement with 24 lm lute width was and 5 mm height had the lowest stress field while the
taken and the model was loaded under 100 N horizontal combination of 30° taper and 5 mm height had the highest
point load, vertical point load distributed axial load. The stress field. Distributed axial loading shows least stress,
maximum shear stress and Von Mises stress within the better stress homogenization and gives a favorable prog-
nosis for the fixed prostheses. Smaller preparation taper of
10° is biomechanically more acceptable than a 30° taper. It
S. Tripathi (&) is desirable to decrease taper as height increases. The
Department of Prosthodontics Including Crown and Bridge and
chamfer margin design is associated with greater local
Implantology, Kothiwal Dental College & Research Centre,
Mora Mustaqueem, Kanth Road, cement stresses toward the margins that could place the
Moradabad 244001, Uttar Pradesh, India cement at greater risk for microfracture and failure.
e-mail: drsiddhi.tripathi@gmail.com
Keywords Finite element analysis  Cement lute  Taper 
G. S. Amarnath  B. C. Muddugangadhar
Department of Prosthodontics Including Crown and Bridge and Height  Finish line  Occlusal loading
Implantology, M R Ambedkar Dental College & Hospital,
Bangalore 560015, Karnataka, India Introduction
e-mail: amaranth.shamanna@yahoo.com
B. C. Muddugangadhar The patients’ need in the area of dental prostheses is a
e-mail: drbcmuddu@gmail.com
restoration that closely replicates the original natural tooth
A. Sharma in both function and appearance [1–3]. Many studies have
Department of Oral & Maxillofacial Surgery, Kothiwal Dental suggested that the average life of crown and bridge is
College & Research Centre, Mora Mustaqueem, Kanth Road, between 10 and 15 years. However, these restorations do
Moradabad 244001, Uttar Pradesh, India
eventually fail and the common causes are due to lack of
e-mail: ashgdc06@yahoo.co.in
retention and/or caries [4–7]. Factors such as degree of
S. Choudhary convergence of the opposing walls of the preparation, the
Department of Prosthodontics Including Crown and Bridge and preparation height and width (and hence the height to width
Implantology, College of Dental Science and Research Centre,
ratio), the preparation surface area and the surface rough-
Near Bopal ghuma road, Manipur, Ta. Sanand Dist.,
Ahmedabad 382115, Gujarat, India ness have an important role in achieving desired resistance
e-mail: ashgdc06@yahoo.co.in and retention form for an extracoronal restorations [8–16].

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J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118 S111

It is anticipated that crowns within the mouth are sub- images was converted to Initial Graphics Exchange Spec-
jected to functional and parafunctional forces of varying ification format (IGES) leading to the generation of the
magnitudes and directions [17, 18]. These forces can geometric model. The geometric model was then converted
generate stress in the luting agent. Therefore, the integrity into finite element model by using software called Hyper-
of the cement lute and how this responds to occlusal mesh (Version 9.0). ANSYS (Version 12.0) was the solver
loading during eating, swallowing and parafunctional used to do the analysis of the present study.
activity is critical to the success of crown and bridgework The model comprised of a buccolingual cross-sectional
[19]. view of maxillary second premolar and first molar. Each
A clinical evaluation of luting agents is not easy because model for both premolar and molar had a crown height of
much of the material is hidden by the seated restoration. 5 mm (long preparation) and 3 mm (short preparation).
Studies have shown that failure occurs within the cement Both the ‘long’ and the ‘short’ preparations were further
layer instead of the interfaces between cement and tooth or modified to give a total preparation taper (convergence
restoration. Cement fractures lead to microleakage and angle) of 10° and 30° (Fig. 1a). The thickness of porcelain
changes in stress distribution to supporting tissues [4]. was maintained between 1.2 and 1.4 mm. The thickness of
Although various researchers have determined failure the alloy was kept at 0.3 mm. The final representative
stress for different cements available, little work has been values for porcelain fused to metal crown are depicted in
carried out to evaluate actual stresses existing in the Fig. 1b. The integrity between ceramic veneer and metal
cement layers. coping were defined using a ‘glued contact option’ within
Various investigators have reported the use of photo- the software. Both the models were prepared with a
elastic methods to analyse stress distributions in metal shoulder margin on buccal side and chamfer margin on the
ceramic crowns [20–24]. Though general design concepts palatal side and restored with porcelain fused to metal
were focused upon but the effect of stress development in crown. The cement chosen was type 1 glass ionomer
the cement layer was not considered in these studies. Apart cement and the film thickness of the cement layer was kept
from being tedious and time-consuming, the accuracy of 24 lm wide.
the results is affected by the observer’s ability to achieve
proper identification of the fractional fringe orders. Though
the results of photoelastic analyses are a useful adjunct to
finite element stress analysis, the computerized stress
analysis approach can handle a greater variability in the
material properties and is an extremely accurate approach
[25].
FEA has been used to investigate many aspects of crown
preparation including cement microfracture, luting cement
thickness and physical properties, the influence of margin
design on cervical stresses and the influence of crown
metal thickness on cervical stresses [19, 26–34]. However
the interplay between preparation taper, preparation height,
and marginal configuration on the stresses developed
within the cement lute has not been investigated. Therefore
a three dimensional finite element stress analysis study was
planned from a comprehensive perspective to assess the
influence of preparation taper, height and margin design
under different loading conditions on luting cement.

Materials and Methods

The study was conducted at M R Ambedkar Dental College


and Hospital, Bengaluru, Karnataka, India. A Computed
Tomography scan of human skull was used as a reference
to model the geometry of maxillary second premolar and
first molar. The images were recorded in Dicom format. Fig. 1 Representation of properties specified to the finite element
Using MIMICS (Version 8.11), the Dicom format of the model

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S112 J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118

Fig. 2 Three dimensional


meshed FE model of maxillary
second premolar and maxillary
first molar

Table 1 Number of elements and nodes for each model place. The separation force was set to a very high level
Tooth type Preparation Preparation Nodes Elements
([500 N) in order to ensure that no separation could occur.
length (mm) taper (°) The finite element model was rigidly constrained in the x, y
and z directions at the base of the model. In clinical reality
Premolar 3 30 12,428 46,042 this set of boundary conditions is likely to represent a
Molar 3 30 12,328 45,111 crowned tooth that has been loaded by a relatively high
Premolar 5 30 12,428 46,042 occlusal load causing the tooth to ‘bottom out’ in the
Molar 5 30 12,328 45,111 alveolar housing.
Premolar 3 10 12,885 47,675 As this study was concerned primarily with the cement
Molar 3 10 13,096 47,790 lute stress and the influence of preparation geometry,
Premolar 5 10 12,885 47,675 modelling of the supporting tissues and alveolar bone was
Molar 5 10 12,885 47,790 omitted. Similarly, the effect of the pulp was considered
negligible due to its comparatively low volume and the
comparatively high stiffness characteristics of the sur-
Using Hypermesh Pre-processor (Version 9.0), the 3-D rounding dentine and cement. Furthermore, Rubin et al.
finite element model corresponding to the geometric model [32], Morin et al. [33] and Anusavice and Hojjatie [35]
was meshed and the model was divided into large number have shown that modelling the pulp as a void has no effect
of elements and nodes (Fig. 2). An overview of the meshes on the magnitude of the coronal stress field. The modelling
used in study and the number of elements and nodes for of root was omitted as it was found that the root experi-
each model is given in Table 1. enced minor stresses as compared to the coronal portion of
For the accurate analysis of the problem and interpre- the tooth. It was assumed that all materials were homog-
tation of the results, Young’s modulus of elasticity and enous, linearly elastic, and isotropic and perfect bonding
Poisson’s ratio were utilized. The corresponding values of existed between all layers.
Young’s Modulus (E) and Poisson’s ratio (m) of dentine An attempt was made to simulate actual clinical situa-
was chosen as 20 GPa and 0.31, glass ionomer cement as tion. The magnitude of normal masticatory forces ranges
7.5 GPa and 0.35, porcelain as 80 GPa and 0.30 and Ni–Cr from 9 to 180 N (2–40 lbs) with a duration of from 0.25 to
alloy as 172 GPa and 0.32 respectively according to liter- 0.33 s [36]. The finite element models were loaded in three
ature survey [26]. ways: (i) Point load of 100 N applied horizontally to the
Before applying the boundary conditions, the system of top edge of palatal cusp of maxillary 2nd premolar and
equations is not completely defined. This is because, any mesio-palatal cusp of maxillary 1st molar (Fig. 3a). (ii)
model which is generated, has to be constrained depending Point load of 100 N (Fig. 3b) applied vertically on the
upon the requirements of the study. Thus, boundary con- occlusal surface of palatal cusp of maxillary 2nd premolar
ditions are applied to have enough fixed nodal displace- and mesio-palatal cusp of maxillary 1st molar. (iii) Dis-
ments to prevent the structure from moving in space as a tributed load of 100 N (Fig. 3c) across the entire occlusal
rigid body when external loads are applied. The contact surface acting apically.
between the cement layer, the tooth and crown were After applying load on each model, a record of the
described using the ‘bonded contact’ option. This created patterns and values of maximum shear stress and maximum
tying equations that described the contact, both normal and Von Mises stress within the cement lute was displayed
tangential to the contact segments. This contact option using color coded figures. The shear stress was chosen as
allowed specifications to be entered regarding the circum- this would be greater numerically than the local tensile or
stances at which separation at the interfaces would take compressive stresses. The Von Mises stress was chosen as

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J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118 S113

Fig. 3 Representation of loads specified to the finite element model. a Point load of 100 N applied horizontally, b point load of 100 N applied
vertically, c distributed load of 100 N across the entire occlusal surface

it provides an overall picture of the stress field, since it


contains components of both the local tensile and shear
stresses. Both of these stress parameters are likely to pre-
dict failure.

Results

The maximum shear stress and maximum Von Mises stress


within the cement lute were calculated and represented in
color-coded figure. (Fig. 4; Tables 2, 3). A representative
stress plot is depicted in Figs. 5, 6, 7, 8 showing the
maximum Shear stress and Von Mises stress in the cement
lute for each combination of tooth type, taper and prepa-
ration height. For loadcase-l, which depicts a lateral force Fig. 4 Shear stress contours in premolar with 3 mm height and 10°
taper under point load of 100 N applied horizontally to the top edge of
applied near the occlusal surface of the crown, the maxi-
the crown
mum shear stresses ranged from 1.70 to 3.93 MPa, while

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S114 J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118

Table 2 Maximum shear stress Height Taper Shear stress Von Mises Shear Von Mises Shear Von Mises
and maximum Von Mises stress (mm) (°) in stress in stress in stress in stress in stress in
in premolar under different horizontal horizontal vertical vertical point distributed distributed
loading conditions point load point load point load load (MPa) load (MPa) load (MPa)
(MPa) (MPa) (MPa)

3 10 2.39 6.39 1.69 4.95 0.48 1.62


3 30 2.52 7.53 1.94 6.31 0.52 1.63
5 10 1.70 3.39 0.66 1.93 0.44 1.55
5 30 3.40 8.75 3.04 6.64 0.87 3.57

Table 3 Maximum shear stress Height Taper Shear stress Von Mises Shear Von Mises Shear Von Mises
and maximum Von Mises stress (mm) (°) in stress in stress in stress in stress in stress in
in molar under different loading horizontal horizontal vertical vertical point distributed distributed
conditions point load point load point load load (MPa) load (MPa) load (MPa)
(MPa) (MPa) (MPa)

3 10 2.61 8.48 2.37 5.77 0.57 1.54


3 30 3.00 9.81 2.82 7.37 0.62 2.17
5 10 2.47 6.36 2.36 5.63 0.38 1.49
5 30 3.93 10.62 2.83 8.58 0.79 2.29

Fig. 5 Variation of maximum


shear stress and Von Mises
stress with height in maxillary
second premolar and maxillary
first molar at 10° taper

Fig. 6 Variation of maximum


shear stress and Von Mises
stress with height in maxillary
second premolar and maxillary
first molar at 30° taper

the maximum Von Mises stresses were in the range maximum shear stresses were in the range 0.38–0.87 MPa,
3.39–10.62 MPa. For loadcase 2, which depicts an apically while the maximum Von Mises stresses were in the range
directed occlusal load, the maximum shear stresses were in 1.49–3.57 MPa.
the range 0.66–3.04 MPa, while the maximum Von Mises The stress fields in the cement lute were consistently
stresses were in the range 1.93–8.58 MPa. For loadcase 3, highest under 100 N horizontal Point load followed by
which depicts the load applied by a food bolus, the 100 N vertical Point load and least under 100 N

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J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118 S115

Fig. 7 Variation of maximum


Shear stress and Von Mises
stress with taper in maxillary
second premolar and maxillary
first molar at 3 mm height

Fig. 8 Variation of maximum Stress V/s Taper (Height 5 mm)


shear stress and Von Mises
stress with taper in maxillary 10
second premolar and maxillary
8
Stress (MPa)

first molar at 5 mm height PM_Shear stress

6 PM_Von Mises
stress
4 M_Shear stress
2 M_Von Mises stress

0
0 10 20 30 40
Taper (Degree)

Distributed load for both premolar and molar. In compar- virtual manipulation of clinical variables relating to cement
ison to the 10° taper, the stress fields in the cement lute microfracture [26].
were consistently higher in premolar and molar with a 30° Maxillary premolar and molar were chosen for the
preparation taper under all three loading conditions. The investigation as various FEA studies have been conducted
combination of 10° taper with a long preparation (5 mm) on the same for stress analysis [19, 26–34]. Also, Trier
had the lowest stress field and the combination of 30° taper et al. [37] found that over 95 % of all castings that failed by
with a long preparation (5 mm) had the highest stress field becoming uncemented lacked resistance form and amongst
under all three loading conditions. The stress fields were that 63 % of the failures were molars, 35 % were premo-
higher in the chamfer region and at the junction of shoulder lars, and 2 % were anterior teeth. The source of data for the
and chamfer region in comparison to the shoulder region. investigation was taken from a CT scan of a human skull to
precisely simulate the dimensions and shape of the max-
illary second premolar and first molar.
The cement lute width was kept 24 lm wide in accor-
Discussion dance to the study conducted by Fusayama and Iwamoto
[38] who advocated an optimum cement thickness between
The present study investigated the cement lute stress based 30 and 50 lm. Further, Jorgensen and Esbensen [39] stated
on preparation height, taper and margin design under dif- that increase in film thickness from 20 to 140 lm
ferent occlusal loading conditions using three dimensional decreased the retentive strength of crowns by approxi-
FEA rather than the two dimensional FEA method because mately 33 %. Likewise, study conducted by Mayhew et al.
it would more accurately model the complex stress distri- [40] indicated that cast gold crowns cemented with a film
butions encountered clinically and give an actual repre- thickness of 44 lm were significantly more retentive than
sentation of the stress behaviour in the cement lute. Also those cemented with a film thickness of 113–255 lm.
the two-dimensional models have fewer elements and Convergence, a primary feature of preparation geome-
structural details and may lead to incorrect interpretation try, is the angle between opposing axial walls and has been
due to higher stress values. In comparison to clinical trials, shown to affect crown retention with optimal retention
which could have been complicated and expensive owing occurring between 5° and 12°. Clinically, ideal axial wall
to an array of factors affecting microleakage under artificial convergence is not routinely obtained. Studies have
crowns, advanced computer modeling techniques allow reported mean convergence values ranging from 14° to 20°.

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S116 J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118

Reported mean total occlusal convergence (TOC) angles biomechanically more acceptable than a 30° taper, as the
range from 12.2° to 27°, depending on whether the prep- stress distribution is more favourable.
arations were completed in the preclinical laboratory or in Various researchers [43, 44] have suggested that the
clinical situation [3, 5, 7–9, 12–14]. Hence in the present majority of dental structure failures are attributable to a
study, a convergence angle of 10° and 30° was selected to process that finds its catastrophic end only after many years
approximate clinical situation. of service. This is where a fissure grows slowly under
The functional masticatory forces exerted by stomato- fatigue stress, structurally weakening the component until
gnathic system in the oral cavity are small compared to final breakage occurs. When combined with the stress
static isometric closing forces. Under normal masticatory analysis results found in this study, such a concept is useful
conditions, the forces exerted on the occlusal surface sel- for indicating where fracture initiation is most likely to
dom exceed 10–15 pound [17, 18]. In the present study occur.
three different occlusal loading conditions were applied i.e. The applied stress in this investigation was 100 N. It
100 N point horizontal load, 100 N point vertical load and should be recognized that mastication is a complex pro-
100 N distributed load across the occlusal surface acting cedure influenced by age, gender, food texture, occlusal
apically to simulate clinical condition. scheme, time, and presence of temporomandibular disor-
The first load case where the load was applied hori- ders. As a consequence, opening and closing velocities,
zontally near the occlusal surface, represented a load that directional changes, and width of lateral movements vary
could well displace a crown by rotation, particularly where considerably among individuals. Additionally, in vivo
the preparation height was low. The second load case, temperature fluctuations and chemomechanic and micro-
where a point load was applied to the occlusal surface in an biologic influences create a hostile environment for the
apical direction, represented a typical swallowing load. The longevity of the restorations. Although the differences in
third load case where the load was distributed uniformly the magnitude of the stresses were small under the various
over the entire occlusal surface of the crown simulated the parameters specified, it is possible that after many years of
effect of crushing a food bolus. The results obtained function, the slightly higher stress field of the 30° taper
showed that the maximum stress occurred in the first case crown would result in crack initiation and propagation and
during horizontal Point loading followed by vertical Point ultimately loss of retention.
loading and least in distributed loading. The magnitude of Fatigue, which is defined as progressive fracture under
the stresses were rather smaller in distributed axial loading repeated loading, should be used for predicting cement
than the previous two load cases, as a result of distributing failure for clinical situations involving low stresses and
the load over a wider area leading to better stress homog- significant cyclic loading. Endurance limit is approxi-
enization. The results of this analysis concur with findings mately 40 % of the ultimate strength of the material rep-
of Kamposiora et al. [26] who concluded that stresses resents the limit up to which a material can be subjected to
under oblique stressing were higher than under axial an infinite number of cycles without failing [26]. The
stressing. ultimate tensile strength (UTS) of the cement used in this
It would seem logical that the combination of a short study ranged from 9 to 20 MPa. Resultant stresses in the
preparation with 30° taper would present the most unfa- present study were very low and did not reach the esti-
vourable stress field. However, the combination of a 30° mated endurance limit. However under horizontal stress-
taper with a long preparation had the most unfavourable ing, stress values were higher than the endurance limit, and
stress field which is in direct opposition to the traditional some conditions actually exceeded the UTS of the cement.
teaching of fixed prosthodontics. One possible explanation Further, the results showed that models with chamfer
for this finding may be the juxtaposition of the 30° taper margin exhibited increased stresses in comparison to
with the maximum shear stress plane, which occurs at 45° shoulder margins. There was a relative increase in stress
to the vertical axis of the preparation. Therefore, as the magnitude at the junction of shoulder and chamfer finish
taper increased from 10° to 30°, the sampling plane in the line but it was lesser in magnitude compared to chamfer
cement lute became increasingly influenced by the maxi- region. This finding is consistent with the study conducted
mum shear stress [19]. The maximum stresses with the 10° by Kamposiora et al. [26] who stated that stresses at the
preparation taper were consistently smaller than with the margins of crowns with chamfer marginal configuration
30° taper. Standard texts on Fixed Prosthodontics [41, 42] were higher than those with shoulder margins. However
suggest that the optimal taper for a crown preparation is few studies also exist which contradict the aforementioned
between 5° and 10°, this assumption being based on lab- result. Farah and Craig [22] compared chamfer, chisel, and
oratory based biomechanical studies carried out in the shoulder with a bevel with absence of cement interface and
1950’s and 1960’s. The results from this study seem to concluded that most uniform stress distribution was
suggest that a smaller preparation taper of 10° is also exhibited by chamfer finish line. Chai and Steege [45]

123
J Indian Prosthodont Soc (December 2014) 14(Suppl. 1):S110–S118 S117

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